NPTE Clinical Files | Physical Therapy

Latest Episodes:

THR Complications Mar 29, 2023

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Laird is treating a patient who has recently undergone a posterolateral total hip replacement surgery. Which of the following postoperative complications should the therapist be MOST concerned about observing during the examination? A. Hematoma B. Neuroborreliosis C. Infection D. Anterior dislocation of the hip implant

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Pediatric Musculoskeletal Examination Mar 22, 2023

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Janese is a young child who presents to physical therapy with a medical diagnosis of clubfoot. Which of the following is the correct description:

A. Plantarflexion, eversion, adduction

B. Dorsiflexion, inversion, adduction

C. Plantarflexion, inversion, adduction

D. Dorsiflexion, eversion, abduction

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Subacromial Impingement Mar 15, 2023

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Lizzie is performing a routine examination on a patient with a suspected subacromial impingement. Which of the following should be assessed FIRST?

A. Shoulder abduction active range of motion

B. External rotation manual muscle testing

C. Gross shoulder joint mobility

D. Lateral shoulder palpation

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Patient Tardiness Mar 08, 2023

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India is treating a patient who is frequently late or misses appointments. The patient has a history of poor time management and has apologized for their behavior. What is the MOST appropriate action for the physical therapist to take in this situation?

A. Ignore the patient's tardiness or missed appointments and continue with treatment as usual

B. Explain the importance of being on time and set clear expectations for the patient's attendance

C. Discharge the patient from treatment for noncompliance

D. Report the patient's behavior to their primary care physician.

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Physical Therapy Ethics Mar 01, 2023

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Hannah is treating a patient who discloses that they are currently experiencing depression and anxiety. The patient expresses concern that these conditions may interfere with their ability to adhere to their rehabilitation program. What is the MOST appropriate action for the physical therapist to take?

A. Focus solely on the physical rehabilitation program

B. Acknowledge the patient's concerns but continue with the current program

C. Refer the patient to a mental health professional for evaluation and treatment

D. Modify the rehabilitation program to incorporate strategies to address the patient's mental health concerns

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Chronic Low Back Pain Feb 22, 2023

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Janie is a 50-year-old female who presents with a complaint of chronic low back pain. On examination, the patient reports that she spends most of her day sitting at a desk for work and has limited physical activity. Which of the following is the most appropriate INITIAL recommendation:

A. Referral to a pain management specialist for further evaluation

B. Prescription of a strengthening program for the low back and core

C. Recommendation for the use of a lumbar support cushion while sitting

D. Recommendation for a program focused on improving posture and ergonomics

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Referred Pain Feb 15, 2023

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Hal is researching common referral sites for pathologies and conditions that affect his patient population. Which of the following is MOST likely associated with substernal chest pain that does not have a referral pain pattern?

A. Neurological

B. Gastrointestinal

C. Breast pain

D. Anxiety

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Cardiorespiratory Conditions Feb 08, 2023

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April is examining a patient with cardiorespiratory dysfunction. The patient denies any co-existing respiratory disorder however reports a recent trauma to chest. Upon examination, the patient has chest pain that is intensified with inspiration and a non-productive cough. Which of the following pathologies is the MOST likely present?

A. Pulmonary embolism

B. Pleurisy

C. Pneumothorax

D. Pneumonia

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Types of Pain Feb 01, 2023

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Jessica, 15-year-old female patient sustained an injury while rollerblading, landing on her right arm. She describes the pain as “deep, nagging, & dull.” Based on the pain description, which of the following structures is MOST likely affected?

A. Muscle

B. Bone

C. Fracture

D. Vasculature

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Cardiac Conditions Jan 25, 2023

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Blake is a 45-year-old male patient with chest pain at rest, pallor, palpitations, hypertension, and an elevated blood serum cholesterol level of 242 mg/dL. All of these clinical signs and symptoms are MOST likely red flags indicative of which of the following conditions?

A. Stable angina pectoris

B. Unstable angina pectoris

C. Pericarditis

D. Peptic ulcer

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